Sunridge Village LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

920 Issued in AZ

Legal business name

SUNRIDGE VILLAGE LLC

Practice address

839 Landon Dr
Bullhead City, AZ 86429-7674

Phone

(928) 754-0700

Fax

(928) 754-1225

NPI assigned

Feb 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Tritz

Title

Administrator

Phone

(928) 754-0700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1699817734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 LANDON DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864297674",
            "telephone_number": "928-754-0700",
            "fax_number": "928-754-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 LANDON DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864297674",
            "telephone_number": "928-754-0700",
            "fax_number": "928-754-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRIDGE VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TRITZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-754-0700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Nicole Stuart, DMD
• Robin Carl Sturms, D.D.S
• Summer'S Dawn Center
• Summerside Health PLLC
• Breanna Lynn Sundberg
• Ryan Charles Swigert, DDS
• Talas Harbor at Bullhead City
• Naila Ashraf Tariq, M.D.
• William David Tarloff, RPH
• Joie Lynn Tedder, APRN,FNP-C

• Assisted Living Facility in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.